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Conclusion

Echocardiograhy shows thick and redundant leaflets and chordae with systolic displacement of leaflets into the LA in systole.

Many patients with MVP have slowly progressive disease leading to severe MR. A more acute course could be seen due to spontaneous chordal rupture resulting in a partial flail leaflet segment.

Current data shows that in adults with severe mitral regurgitation, and evidence of progressive ventricular dilatation or any reduction in left ventricular systolic function surgical intervention should be considered regardless of symptomatic status.